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When thinking about my patients, I've noticed a pattern to the marital conflicts that they share. Here's my list of the top ten things that put your marriage at higher risk for break-up and the things you must do to strengthen it. 1) Putting-Down Spouse's Friends/Family Don't badmouth your spouse or her/his friends, family or associates. Spouses need to know you appreciate their world outside of you. Rather, compliment her friends and family. 2) Not Using Good Listening Skills This includes indulging pre-occupation, avoiding eye contact, looking somewhere else as the conversation unfolds etc. Rather, use good eye contact, wait 'til your spouse finishes talking and concentrate so much on what s/he is saying that you paraphrase it to demonstrate you REALLY listened. 3) Lack of Sexual Interplay This is a very ominous sign in marriage. If your partner has complaints that prevent him/her from wanting to engage you sexually, get help. Seek medical and/or psychological counseling, if necessary. Men, don't get hung-up on wanting SEX-SEXUAL INTERCOURSE all the time. Be able to frequently engage your partner slowly and tenderly in a SENSUAL fashion without SEX. Don't worry, your penis won't explode because of pent-up semen. Don't leave your partner clueless as to why you aren't interested in sex. 4) Always Having the Last Word or Need to be Right This includes lecturing, criticizing and over-correcting your partner. Narcissists are HARD to love! Occasionally, admit that you made a mistake, don't know or compliment your partner as having made a "good point" (and leave it at that). Please be concise. Don't answer every question with a lecture on the topic. 5) Not Following-Thru Actions do speak louder than words. Be reliable and trustworthy. When you commit yourself to doing something, do it. This builds the trust necessary to maintain a close relationship. Trust involves everyday things, not just fidelity. 6) Inconsiderate Teasing Believe your spouse if s/he says that your teasing was hurtful or a put down. Don't give a lecture about why that wasn't correct. Just stop it. Ask yourself what s/he would find complimentary and say that instead. If you just LISTEN to your spouse you can learn alot. 7) Deceit, Lies and Falsehoods Having lies and secrets creates distance and serious suspicions in your mate. This leads to lack of trust and robs your relationship of the fuel it needs to keep going. Swallow, bite the bullet, be considerate and be honest. 8) Being Juvenile When you know you are annoying and you continue to annoy, it's immature and VERY wearing on a spouse. Find better ways to get attention and use healthy communication techniques to communicate your gripes. 9) Explosive Anger You must handle conflict constructively EVEN if your spouse doesn't. Having angry outbursts always makes you the loser, even if you ARE right. That's called being "self-defeating." Copyright, Shery, 2006 cheap penis enlargement pill do penis enargement pills work manual penile enlargment exercise truth about pnis enlargement penile enlargement surgeries penile enlargement exercise penis enargement exercise best pnis enlargement surgery

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It can be surprising to realize that an organ as high-powered and sophisticated as the brain also has a plumbing system. And, as the case with a house's plumbing, the drainage side of the system can get gummed up. But the symptoms are different. When a home's drainage backs up, well...I won't go there. When the brain's drainage system backs up, the brain's owner can become confused, incontinent of urine and unsteady on his or her feet. The plumbing system in question is that which produces and drains the cerebrospinal fluid (CSF). Normal CSF looks the same as water from a faucet, but is created from the bloodstream in the choroid plexus tissue within three of the brain's four inner chambers -- the right and left "lateral" ventricles and the midline "fourth" ventricle, but not the interposed, midline "third" ventricle. The CSF percolates through passageways from one ventricle to another, finally emerging through openings at the base of the brain to bathe the outer surfaces of the brain and spinal cord before getting reabsorbed into the bloodstream again. This re-absorption occurs in special collection-nodes in the membranes surrounding the brain. The entire CSF volume of about 150 milliliters or five ounces (about as much as a glass of wine) is produced and reabsorbed four times a day, so the fluid is constantly turning over. But blockages along the way can interfere with the normal flow of the CSF. For example, when the passageway between the third and fourth ventricles becomes narrowed or choked with sludge, the CSF backs into the lateral and third ventricles. Those ventricles react to the increased pressure by becoming physically dilated or enlarged. In this case, a CT or MRI scan could reveal the location of the blockage by showing expansion of the two lateral and the single third ventricles, but a normal-sized fourth ventricle. Another example of a blockage and its consequences is when the collection-nodes responsible for CSF re-absorption in the brain's overlying membranes (meninges) become clogged. In this case, all four ventricles are upstream from the blockage, and all four of them expand. This, too, is visible on brain scans. Both cases are examples of hydrocephalus, or water on the brain. The first case is one of "internal" or high-pressure hydrocephalus. The second is called "external" or normal-pressure hydrocephalus (NPH). In NPH the pressure is inexplicably normal much of the time, but the term is somewhat misleading because prolonged recordings with pressure-monitors do show intermittent periods of increased pressure. Hydrocephalus of one kind or another is especially prevalent at the two extremes of the life cycle -- in the very young and the very old -- but can occur at any age. In infancy, hydrocephalus can be caused by malformed brain-tissue. In contrast, adults with hydrocephalus were usually born with normal brain anatomy, but acquired a blockage due to a tumor, injury, bleed or infection. However, many cases of hydrocephalus in adults occur without a history of these preceding illnesses. CT and MRI scans are sensitive tools in detecting hydrocephalus, particularly when it's striking enough not be confused with ventricular enlargement due to gradual loss of surrounding brain tissue from aging. The main treatment of hydrocephalus is for a surgeon to insert a tube (shunt) into one of the swollen lateral ventricles and provide an alternative pathway for the backed-up CSF to drain. Once the shunt equipment is in place, a piece of hardware about the size of a large button sits outside the hole made in the skull (but inside the skin of the scalp) and redirects the excess CSF through another tube into either a jugular vein in the neck or into the abdominal cavity (peritoneum). Thus, the patient can receive either a "VJ" shunt or a "VP" shunt, with the letters designating the locations of the two ends of the shunt. The success or failure of shunting depends not just on the skill of the surgeon, but also on the selection of appropriate patients. Sometimes hydrocephalus turns up unexpectedly on scans when doctors are looking for something else entirely. Although an unexpected finding like this should always cause the doctors to re-think the case, the point is that hydrocephalus doesn't always cause problems. Sometimes the hydrocephalus has been there for years and the brain has adjusted to it in a way that produces no symptoms. This is an example of a case that should not be shunted, though it would still be appropriate to monitor the patient and his or her scans over subsequent months and years. Who, then, should receive a shunt? The answer, in short, is people for whom the benefits of the operation exceed its risks. Identifying them, however, is the tough part. And the task is made even more difficult by the lack of randomized, controlled trials in which a group of patients receiving treatment is compared to an equivalent group of patients not receiving treatment. Although similar reasoning applies to adults thought to have internal (high-pressure) hydrocephalus, I'll lay out the decision-tree as it applies to external (normal-pressure) hydrocephalus. Published observations imply that shunts are most likely to help NPH patients who have the following features:substantial enlargement of all four ventricles a full "triad" of symptoms, including confusion, urinary incontinence and altered walking poor walking as the first of the three symptoms temporary improvement of symptoms after drainage of 50-60 milliliters (2 ounces) of CSF by lumbar puncture (spinal tap) The elderly patients most at risk for NPH are also at increased risk for other diseases, and the shunting operation doesn't help symptoms produced by other causes. For example, confusion can be caused by Alzheimer's disease and strokes. Urinary incontinence can be due to prostate disease in men and sagging pelvic tissue in women. Walking can be disrupted by arthritis, fractured bones, low vision, inner-ear disease, Parkinson's disease and many other unrelated processes. So it's important for the doctor to determine if other diseases might be to blame for the very symptoms that seem, at first glance, to be from NPH. Assuming that NPH still seems likely, the next round of decision-making concerns the possibility that an operation will cause harm. Even a patient whose brain scan and symptoms are classic for NPH can develop serious complications from the operation. A particularly feared complication is bleeding into the space outside the brain, called a subdural hematoma. Older patients are also more likely to have other medical conditions that could compromise the safety of an operation, like coronary artery disease or emphysema. Cases in which expected benefits of the operation are much greater than risks, or in which the risks are much greater than the expected benefits, are easy to make decisions about. But many other cases are in the gray zone in which potential benefits and risks are more evenly matched and the chances of doing harm with an operation come close to canceling out the chances of doing good. (C) 2006 by Gary Cordingley sex vig rx penile enlargement doctor vimax home penis enlargement penis enlargement device vimax penis enlargement before and after pnis enlargement without pills pennis enlargement doctor penis enlargment procedure natural penis enhancement technique

Shaving the family jewels can be lots of work, particularly if you've never done it before. It may take you up to an hour to do it the first time. Don't get all macho and make sure you invest in aftercare. Under no circumstances use an electric razor, the only thing it will do is cause’ you PAIN! The easiest way to shave your crotch is to start at the bottom. Pull up everything with one hand and embark on shaving from in between your legs upward. Be very careful around the center of the scrotum, since your skin is particularly tender there. Afterward do both sides and finally concentrate on the top of your scrotum, preferably before working on and above your penis. By working at it this way you'll have the hardest parts completed first. So why go through all the trouble of shaving your pubes? Check out the bonuses that make spending all the extra bathroom time worth every minute. Most men worry obsessively about the hair on their heads yet rarely give some though about the pubic hairs. But when that hot babe comes along, only then do we realize that maybe spending some time on the magic stick could help us at action time. Mr. Clean. The penis is a focal point for heat, sweat, and bacteria. Removing your pubic hair makes that area much easier to keep clean, and more notably, smelling clean and manly. She's more likely to explore that area up close if it's well maintained. If you remove most or all of her pretexts, to performing oral sex on you, isn't it worth the trouble? Pay special attention to removing stray hairs from your shaft. You don't want her choking on your pubes. Don't Forget The Scrotum. A woman's body is playground of softness and smoothness, so don't you think she'll appreciate the same on you? Silky smooth balls invite both manual and oral affection. She's far more likely to play down there if she doesn't have to use a weed whacker to find it. The Empire State Building on your crotch! Need I say more? You will swear that you gained at the very least an extra inch in length! If your crotch is not groomed regularly, you probably have pubic hair at least part way up your shaft. Your penis seems to begin where that pubic hair ends. Remove the underbrush and whip out the real magic stick. Note that some people experience moderate to intense itching the first couple of days after shaving as the pubic hair grows back. Try your first shave on a weekend you avoid moving around like ants in your pants on Monday the itching should decrease or stop if you continue to groom yourself frequently. And just in case the boys on in the locker room start making fun of you, first and foremost ask them why are they checking you out, especially why are the looking at your dick. In the embarrassed silence that follows, tell them why you did it, that you're having twice as much sex as they are, and what most women won't do with them, they're more than happy to do with you! Then if you feel like it, let them in on your secret. penis enargement pump penis enlarement secret real pnis enlargement vimax penis enlargement secret cheap vig rx plus vig rx best penis enhancement surgery penis enlargment device natural penis enhancement technique

Do you have candida? Not many people know what candida exactly is and what they look like. Candida or yeast infection is an infection caused by the overgrowth of a microorganism called Candida albicans. This particular fungus is normally found in the stomach as it aids in the digestive process. However, it can cause harmful side effects if it is found on other parts of the body such as the mouth, skin folds, the vagina and or the penis. Diet is important in the treatment of the disease. The following diets can be of great help to completely get rid of the candida infection: • A diabetic diet is advised as it contains less sugar. All the foods that are rich in sugar must be taken in small amount. Food such as cookies, cake, candies, sodas, and ice creams should be taken with precautions. Sweetened food that are made from artificial sugar called saccharine or aspartame or stevia extract need to be taken with moderation. Sugar intake can further worsen the infection as it can cause overgrowing of Candida albicans. Three days of sugar restriction may enhance the possibility of curing the disease. • White starch food such as white pasta, bread, cakes and white rice must also be prohibited. You should take whole grains in moderation. If you are on a carbohydrate diet, you need to lessen the intake of the following foods to lessen the possibilities of growing more Candida albicans. Dairy products are harmless unless you are allergic to them. • The increase of intake of essential oils can be a great help. Oils such as omega-3 oils, fish oils such as tuna, salmon, mackerel, sardine, and other oils such as flaxseed oils, borage, and primrose oils can be a good diet. You should at least take one tablespoon of these oils per day. Some oils that are found in some food such as salads, canola oil and olive oils can be useful as well. You should include avocado oils and nut oils as they are helpful in treating the disease as well. • Do not just take any antibiotic without any prescription from a doctor. Antibiotics and cortisone-type prescriptions should not be taken as possible, as some of these drugs are harmful and can increase the growth of these microorganisms. • Regular intake of yogurt about two to three servings a day can also help in curing the infection. Yogurt contains a special ingredient called acidophilus that is a powerful and proven ingredient for treating the infection. These are the diets that a yeast infected patient should take. However, before taking these diets it is advisable that you should consult your physician first for a more thorough medical diagnosis and assistance. Note: This article may be freely reproduced as long as the AUTHOR'S resource box at the bottom of this article is included and and all links must be Active/Linkable with no syntax changes. best penis enlargement easy enargement free penis surgery way do penis enlargment pills really work top rated pennis enlargement pills penis enlagement device vimax free penis enlargement video natural penis enlargement penis enlagement system natural penis enhancement technique

GENITAL WARTS Genital warts is a viral disease manifested by a spectrum of skin and mucous membrane lesions affecting the anogenital area. The causative agent is the Human Papilloma Virus (HPV) of the papovavirus group of DNA viruses. At least 60 human papilloma virus types have been identified. Genital or venereal warts are in most instances caused by type 6, 11, 16 or 18. Genital warts are mainly sexually transmitted with worldwide occurrence. The peak incidence is in the sexually active age group of 19-35. The incubation period is between 1 to 9 months with a mean of 3 months. Clinical Features In the uncircumcised men the subprepuce, coronal sulcus and glans penis are affected. Here the lesions appear as pink cauliflower like fleshy growths. This form often called condylomata accuminata are also seen in the urinary meatus and in women on the inner aspects of the vulva, vagina and cervix. The hyperkeratotic, skin coloured or pigmented papular warts are seen as discrete or confluent papules on the keratinised parts of anogenital skin. Flat warts are erythematous or pink requiring application of acetic acid for visualization. They are commonly seen on the cervix. Complications Giant genital warts Bleeding Transmission to neonate during childbirth – childhood laryngeal papilloma Diagnosis Usually based on clinical appearance Histological diagnosis are rarely needed Treatment Podophyllin or podophyllotoxin solution or cream Trichloracetic acid solution Imiquimod cream Electrocautery Cryosurgery Scissor excision Laser therapy